A practical theological problem was identified in the ministry: a husband whose wife undergoes a mastectomy does not receive pastoral care. This problem was investigated through a qualitative research study. The research objective was answered by doing research and a literature study. This scientific research enriches the practical theology in an unique way so that the pastoral counsellor is supported and can be more competent.
Breast cancer is a life-threatening disease that no husband is prepared for. The wife loses an intimate part of her body and needs to be supported by her husband. He starts to question his own manhood (identity). This loss is also a traumatic experiences for him. He is overwhelmed by his emotions and can fall into despair if he does not have the ability to process the problem.
We live in the post-modern era. This has lead to the development of the Post-foundational practical theological approach. The researcher therefore decided to follow this approach in his study. This help to determine the influence of the disruption and uncertainties in the life of the man through a discourse between the practical theology, medical- and human science from a transversal perspective. Evident questions were raised for which the counsellor needs to distinguish himself with knowledge about the various pastoral approaches and techniques, appropriate knowledge of the Bible, medical- and human science.
The circumstances in which the man finds himself raise questions about the meaning of his spirituality. Spirituality can be of great help for the husband. The aim of this counseling model is to facilitate the husband through the narrative approach to find the meaning of his true identity in Christ. Through the grace of God the husband becomes spiritually mature. The dependence on God through a process of transcendence changes the ‘question identity’ to an ‘identity of value and hope’. Through the work of Holy Spirit the husband is reassured of the fulfillment of the promises of salvation by God. The aim of this counseling model for the practical theology is a spiritually matured husband with a new future story.

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